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STUDENT FINANCIAL ASSISTANCE PROGRAM (StuFAP)Ā SY 2023 - 2024
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PERSONAL INFORMATION
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First Name:
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Middle Name:
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Last Name:
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Age:
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Sex:
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Status:
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Person with Disability (If Applicable)
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Religion:
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Citizenship
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Date of Birth:
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Place Birth:
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Contact Number:
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Mailing Address:
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Email Address:
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School Name (High School):
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School Address:
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School Type:
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General Weighted Average (GWA):
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Date Graduation
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Rank in Class:
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FAMILY BACKGROUND
Fathers Status:
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Fathers - First Name:
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Fathers -Ā Middle Name:
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Fathers -Ā Last Name:
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Fathers -Ā Address:
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Fathers -Ā Occupation:
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Fathers -Ā Educational Attainment:
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Mothers Status:
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Mothers -Ā First Name:
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Mothers - Middle Name:
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Mothers - Last Name:
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Mothers - Address:
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Mothers - Occupation:
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Mothers - Educational Attainment:
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Member of Pantawid Pamilya:
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Tribe Membership:
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Total Parents Gross Income (Php.)
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Attache ITR for 2022/2023 or Certificate of Indigency
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Certificate of Tax Exemption from BIR:
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Number of Siblings (Brother/Sisters)
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Brothers/Sisters Enjoying Scholarship (Course)
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School intended to enroll in:
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Factor(s) that motivated you to choose your course:
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Degree Course Program
1st Choice
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2nd Choice
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3rd Choice
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Scanned copy of PSA Certified Birth Certificate
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For Senior High School Graduates (with a GWA 93% and Above)
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SIGNED DECLARATION BY THE PARENTS / LEGAL GUARDIAN
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